Auditing Solutions
In order to manage the medical coding audit process, ReviewMate® offers several options for data integration and mining. Data can seamlessly be integrated into the software a variety of ways. With FTP and API options, ReviewMate® will pair easily with coding and abstracting systems as well as electronic health records. Wherever coded data resides, ReviewMate® can consume the data to make the coding audit process faster and easier.
Integration Manager
Integration Manager allows for the import of coded data into ReviewMate automatically in order to perform data mining and auditing. There are multiple options available such as Electronic Medical Record EMR ( E.g. Epic, Cerner) , HL7 interfaces, EDI 837 and Secure FTP sources. Click below for more details!
Risk Manager
The Risk Manager module provides users the ability to identify risks or opportunities with an data imported via Integration Manager. Users can create their own rules or use a predefined set of standard industry rules to identify accounts with potential issues. It is an artificial intelligence module that will track previous audit findings and learns from past audit findings to improve accuracy and provide insights to auditing teams. Click here to learn more!
Sample Selector & Randomizer
The Sample Selector module is a powerful tool that allows users to create auditing samples using a variety of options, schedule the audits, and create them automatically. Use of Sample Selector will simplify any previous manual processes used to choose samples, pull randomized accounts and identify cases for audit. Click here to learn more!